Individual
CORAL SERRANO BENNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(872) 588-1071
Mailing address
1071 W 15TH ST UNIT 312, CHICAGO, IL 60608-2581
(203) 641-9947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013476
IL
Other
Enumeration date
03/25/2021
Last updated
03/29/2021
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